Provider Demographics
NPI:1063805455
Name:UNITED FAMILY CARE
Entity type:Organization
Organization Name:UNITED FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-850-0850
Mailing Address - Street 1:417 W 38TH ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-4019
Mailing Address - Country:US
Mailing Address - Phone:765-400-0380
Mailing Address - Fax:765-400-0381
Practice Address - Street 1:417 W 38TH ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-4019
Practice Address - Country:US
Practice Address - Phone:765-400-0380
Practice Address - Fax:765-400-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01065726A261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care